Mesh : Humans Flatfoot / surgery diagnostic imaging etiology Female Arthritis, Juvenile / complications surgery Lupus Erythematosus, Systemic / complications surgery Adolescent Adult Male

来  源:   DOI:10.2106/JBJS.CC.23.00673

Abstract:
METHODS: Three cases of inflammatory joint diseases (systemic lupus erythematosus and ongoing juvenile idiopathic arthritis) with painful flexible progressive collapsing foot deformity (PCFD) underwent flatfoot surgery. All cases maintained sufficient radiological correction and achieved good clinical condition at final follow-up.
CONCLUSIONS: Although the prospect for recurrence of the deformity is not clear, even in inflammatory joint diseases, flat foot surgery such as flexor digitorum longs transfer, spring ligament reconstruction, and lateral column lengthening could have a possibility to be indicated against PCFD, as long as disease activity could be well suppressed by drug therapy, subsequently subtalar and talonavicular joints could be preserved.
摘要:
方法:3例炎症性关节疾病(系统性红斑狼疮和持续的幼年特发性关节炎)伴疼痛性柔性进行性塌陷性足部畸形(PCFD)的患者接受了扁平足手术。所有病例均保持了足够的放射学校正,并在最终随访时取得了良好的临床状况。
结论:尽管畸形复发的前景尚不清楚,即使在炎症性关节疾病中,扁平足手术,如屈指长转移,弹簧韧带重建,侧柱加长可能有可能针对PCFD指示,只要药物治疗能很好地抑制疾病活动,随后可以保留距下和距骨关节。
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